Active NPI
Onochie Nnodu
- Psychiatric/Mental Health Registered Nurse
- Knoxville, TN
National Provider Identifier
1235449398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 205
- Practice address
- 2350 McCampbell Wells Way
Knoxville, TN 37924-3128 - Phone
- (615) 554-1858
- NPI assigned
- Oct 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 205 | TN | Primary |
Addresses
Primary practice location
2350 McCampbell Wells Way
Knoxville, TN 37924-3128
Mailing address
5310 Ball Camp Pike
Knoxville, TN 37921-3234
Phone (865) 523-4704
Other practice location 1
114 Beech Forge Dr
Antioch, TN 37013-2326
Phone (615) 554-1858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235449398 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Knoxville |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205 | TN | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1235449398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 BALL CAMP PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379213234",
"telephone_number": "865-523-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MCCAMPBELL WELLS WAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379243128",
"telephone_number": "615-554-1858"
}
],
"practiceLocations": [
{
"address_1": "114 Beech Forge Dr",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "TN",
"postal_code": "370132326",
"country_code": "US",
"telephone_number": "615-554-1858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NNODU",
"first_name": "ONOCHIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-07",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TN",
"license": "205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235449398",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Knoxville",
"affiliation": "N",
"address_1": "114 Beech Forge Dr",
"city": "Antioch",
"state": "TN",
"country_code": "US",
"postal_code": "370132326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.